Commercial

How to Get Credentialed with Clover Health in Texas

Network: Open
45-60 Days CAQH Required

Quick Overview

Timeline

45 - 60 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Texas-Specific Requirements

Clover Health Texas. Medicare Advantage plans. Service areas include Harris County (Houston metro) and surrounding areas. Apply via Clover Health provider portal or CAQH ProView. Clover Assistant AI clinical platform provides real-time insights at point of care. Active Texas medical license, DEA registration (if prescribing), NPI, Medicare enrollment (PECOS), and malpractice insurance required. Processing: 30-60 days.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Texas.

2

Complete Your CAQH ProView Profile

Clover Health requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Clover Health.

4

Track & Follow Up

Credentialing typically takes 45-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Board Certification

Conditional

Required if board certified; highly recommended

CV/Resume

5-year work history minimum

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Current malpractice insurance certificate

Medical License

Active state medical license required

NPI Certificate

Active NPI number required

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